scholarly journals Keys to good knowledge, attitude and practice on rabies prevention in disease-free communities

2021 ◽  
Vol 19 (3) ◽  
pp. 407-422
Author(s):  
Kritkarnda Kiratitana-olan ◽  
◽  
Warangkhana Chaisowwong ◽  
Kriangkrai Thongkorn ◽  
Khwanchai Kreausukon ◽  
...  

Many developing countries have recently faced public health challenges due to outbreaks of human rabies, while some areas have remained free from outbreaks of the disease. The aim of this study was to identify keys to good knowledge, attitude and practice (KAP) in rabies-free areas of Thailand to provide a functional model for rabies prevention in endemic zones. A cross-sectional study was conducted using a questionnaire in conjunction with interviews that were designed to elicit relevant information. Multivariate logistic regression analysis and content analysis were used to interpret the data obtained from the questionnaire and interviews, respectively. The results gathered from 1,392 respondents and 36 interviewees indicated that age, education and the residential area of the subjects were associated with knowledge and practice, but not with attitude. Late midlife subjects reported good knowledge and practice scores due to some form of personal encounter with rabies and attendance at rabies meetings and campaigns, while secondary education levels or above were associated with higher knowledge and practice scores due to the inclusion of a rabies course in the secondary school curriculum. Moreover, the findings showed that a community using a form of public communication known as wired broadcasting had greater knowledge, and a community organizing comprehensive participatory activities had better practice. Ultimately, it was not only age, education and residential area, but also the integration of appropriate interventions and control measures by the authorities that proved beneficial in making good knowledge and practice more uniform throughout the communities included in the study.

Author(s):  
Thounaojam Tamphasana ◽  
Bishwalata Rajkumari ◽  
Longjam Usharani Devi

Background: Adolescent girls’ understanding of menstruation is characterized by poor knowledge and erroneous beliefs about menstruation. This study aims to determine the knowledge, attitude and practice regarding menstrual hygiene among adolescent schoolgirls and to assess any factors associated with menstrual hygiene.Methods: A cross-sectional study was conducted from May 2017 to April 2019 among 1963 school girls of class 8 to 12 standards in Imphal-East District, Manipur. From the list of schools in the district, schools were selected randomly by lottery method and all eligible girls in the selected schools were included. A predesigned self-administered questionnaire was used to collect data. Data were analyzed using SPSS IBM Statistics version 21. Univariate and multivariate logistic regression analysis were performed to test for association. A p value<0.05 was taken as statistically significant.Results: The mean (±SD) age was 15.45 (±1.59) years. More than half (51.3%) of the respondents had good knowledge regarding menstruation. Majority (60.2%) of the respondents have good attitude regarding menstruation. Studying in higher class AOR (95% CI) of 1.399 (1.157-1.675), Christian by religion AOR (95% CI) of 1.640 (1.038-2.591), higher educational level of father AOR (95% CI) 4.492 (1.492-13.52), studying in private schools AOR (95% CI) of 1.370 (1.031-1.172) and belonging to rural community AOR (95% CI) 1.266 (1.025-1.500) were significantly more likely to have good knowledge about menstruation.Conclusions: More than half of the respondents had good knowledge and three-fifth of them had good attitude. Health education on menstruation and menstrual hygiene should be incorporated early enough in the school curriculum to prepare girls for menstruation.


2021 ◽  
Vol 17 (2) ◽  
pp. 136-144
Author(s):  
Radha Paudel ◽  
Sarita Shrestha ◽  
Laxmi Gurung

Background: COVID-19 has become a global health threat and the disease burden is expected to increase more. Nurses are the front lines of COVID management. Because this work requires close personal exposure to patients with COVID-19, nurses are at high risk of infection, contributing to further spread. Nurses’ knowledge, attitudes, and practices can influence the prevention and control of pandemic. Thus, the aim of the study was to assess knowledge, attitude, and practice regarding the prevention and control of COVID-19 among nurses.   Methods: Descriptive cross-sectional study design was carried out among 141 nurses from the central hospital, Kathmandu. A purposive sampling technique was used and the data collection date was June 5 to July 20, 2020. A self-administered semi-structured questionnaire was used. The data were analyzed using descriptive statistics.   Results: The study showed that 60.3% of the participants had good knowledge, 53.2% of them had acceptable practice and a cent percent (100%) of them had a positive attitude on the preventive and control measures against COVID-19. More than 3/4th (75.8%) of them were agreed to handle the COVID-19 outbreak confidently in their healthcare setup. Although, 85.8% of participants were worried that they and their family members will probably get infected with COVID-19 while working in the hospital. However, 39% of them were feeling isolated by their community, and relatives due to their profession.   Conclusions: Nurses have good knowledge, a positive attitude, and acceptable practice about prevention and control of COVID-19. However, the level of some knowledge and practice was still lower than that expected.      Keywords: Attitude; COVID; Knowledge; nurses; prevention and control; practice    


Author(s):  
Md. Golam Rabbani ◽  
Orin Akter ◽  
Md. Zahid Hasan ◽  
Nandeeta Samad ◽  
Shehrin Shaila Mahmood ◽  
...  

The world is grappling with Covid-19, a dire public health crisis. Preventive and control measures are adopted to reduce the spread of COVID-19. It is important to know the knowledge, attitude, and practice (KAP) of people towards this pandemic to suggest appropriate coping strategies. The aim of this study was to assess the KAP of Bangladeshi people towards Covid-19 and determinants of those KAPs. We conducted a cross-sectional survey of 492 Bangladeshi people aged above 18 years from May 7 to 29, 2020 throughout the country. Simple and multiple logistic regression analyses were conducted to identify the factors associated with KAP on COVID-19. About 45% of respondents had good knowledge, 49% of respondents expressed positive attitude towards controlling of COVID-19 and 24% of respondents had favorable practice towards COVID-19. Almost three fourths of the respondents went outside home during the lockdown period. Furthermore, the study found that good knowledge and attitude were associated with better practice of COVID-19 health measures. An evidence informed and context specific risk communication and community engagement, and a social and behavior change communication strategy against COVID-19 should be developed in Bangladesh, based on the findings of this study, targeting different socio-economic groups.


Author(s):  
Manuja L. M. ◽  
Raghavendera S. K. ◽  
Ramya M. P.

Background: Corona virus disease 19 (COVID-19) is an infectious disease caused by newly discovered corona virus. In order to reduce the cases of COVID-19, it is important to practice strict control measures. People adherence to control measures is affected by their knowledge, attitude and practices towards COVID-19. Hence, this study was conducted with an objective to assess the knowledge, attitude and practice towards COVID-19 in the rural community in the vicinity of Adichunchanagiri Institute of Medical Sciences (AIMS), B.G. Nagar.Methods: This cross sectional study was carried out among 572 households in the rural field practice area of AIMS, B. G. Nagar for a period of 3 months. Personal interview of the households was done using pretested semi structured questionnaire after obtaining the consent. Data was entered in MS Excel and descriptive statistical measures like percentage, mean, and standard deviations were calculated.Results: Among 572 households, more than half (53.9%) of the interviewed subjects were less than 40 years old. Majority, 94.6% of the respondents responded correctly that the spread of the disease is by close contact with an infected person and respiratory droplets, 96.2% knew correctly the early sign/s of COVID-19. 94.2% of them had the confidence that the world will win the battle against COVID-19. Most (98%) of the study subjects were taking proper preventive measures while leaving home.Conclusions: Majority of the study participants exhibited good knowledge, favorable attitude, and sensible practices regarding COVID-19. This good knowledge of the study population towards COVID-19 was mainly due to wide awareness created by the Government through various social media.


PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245176 ◽  
Author(s):  
Maryam Abdulrazaq Habib ◽  
Farouq Muhammad Dayyab ◽  
Garba Iliyasu ◽  
Abdulrazaq G. Habib

Background A pandemic of coronavirus disease 2019 (COVID-19) emerged and affected most of the world in early 2020. To inform effective public health measures we conducted a knowledge, attitude and practice (KAP) survey among a Hausa Muslim society in Nigeria in March 2020. Methods The study is an analytic cross-sectional survey with questionnaires administered to the general population including Health Care Workers (HCW) in Kano, Nigeria. Participants were recruited by convenience sampling following informed consent. The percentage of KAP scores were categorized as good and poor. Independent predictors of good knowledge of COVID 19 were ascertained using a binary logistic regression model. Results The questionnaire was administered among urban 32.8%, peri-urban dwellers 32.4%, and to online participants 34.8%. The peri-urban and urban participants were given paper questionnaires. There were 886 study participants with mean age 28.58yrs [SD:10.25] (Interquartile range [IQR]:22yrs–32yrs), males 55.4% with 57.3% having had or were in tertiary education. Most participants were students 40% and civil servants 20%. The overall mean [standard deviation (SD)] for knowledge, attitude and practice scores expressed in percentage was 65.38%[SD15.90], 71.45% [SD14.10], and 65.04% [SD17.02] respectively. Out of the respondents, 270(30.47%) had good knowledge (GK), 158(17.8%) had good attitude (GA), and 230(25.96%) had good practice (GP) using cut-off scores of 75%, 86.5%, and 75% respectively. Over 48% did not agree COVID-19 originated from animals while 60% perceived the pandemic to be due to God’s punishment. Also, 36% thought it was a man-made virus. When rating fear, most respondents [63.5%] had marked fear i.e. ≥ 7 out of 10 and 56% admitted to modifying their habits recently in fear of contracting the virus. As regards attitude to religious norms, 77.77% agreed on cancellation of the lesser pilgrimage as a measure to curb the spread of the disease while 23.64% admitted that greater pilgrimage (Hajj) should proceed despite the persistence of the ongoing pandemic. About 50% of the respondents insisted on attending Friday congregational prayers despite social distancing. One in four people still harbored stigma towards a person who has recovered from the virus. 28% felt some races are more at risk of the disease though 66% mentioned always practicing social distancing from persons coughing or sneezing. Almost 70% of respondents said they were willing to accept a vaccine with 39% saying they would be willing to pay for it if not publicly funded. In univariate analysis increasing age and having been ever married were associated with GK while tertiary education was associated with GA [Odds Ratio; 95% Confidence Interval] 2.66(1.79–3.95). Independent positive predictors of GK were those who were or had ever been married, those who had marked fear of COVID-19, and had modified their habits in the last three months. Those who had non-tertiary education and had the questionnaire administered as paper rather than online version had GK but age was not a predictor. Conclusion Knowledge of transmission and preventive measures should be improved in the general population cognizant of cultural norms and Islamic practices. The study highlights the importance of considering belief systems and perception in developing control measures against COVID-19.


2020 ◽  
Vol 10 (3) ◽  
pp. 98-102 ◽  
Author(s):  
Richa Nepal ◽  
Kalyan Sapkota ◽  
Pramod Paudel ◽  
Bhojraj Adhikari ◽  
Kalidas Adhikari ◽  
...  

Background: The cases of Coronavirus disease-2019 (COVID-19) has been gradually increasing in Nepal. The objective of this study was to evaluate knowledge, attitude and practice regarding COVID-19 among healthcare workers in Chitwan, one of the districts located in central Nepal. Methods: It was a descriptive, cross-sectional study, conducted among healthcare workers from differ­ent health institutions of Chitwan, over the span of two weeks from 1st April, 2020 till 14th April, 2020. Bivariate analyses of knowledge, attitude and practice scores were done with different variables using appropriate tests in SPSS IBM version 25. Results: Out of 353 responses, 166 (47%) were nurses, 102 (28.9%) were doctors, 41 (11.6%) were health assistants, 7 (2%) were community medical assistants, and the remaining 37 (10.5%) were cat­egorized as others. 290 (82.2%) healthcare workers obtained moderate to good knowledge scores, 295 (83.6%) obtained moderate to good practice scores, and 321 (90.9%) had positive attitude scores. Doctors had highest mean knowledge scores (23.70 ± 4.48, p value- 0.000) and health assistants had highest mean practice scores (15.10±3.61, p value- 0.007). Positive correlation was obtained between knowledge and practice scores (r= 0.476, p value- 0.000); and attitude and practice scores (r= 0.238, p value- 0.000). Only 20.4% healthcare workers were confident to handle the pandemic in their health­care setup. Conclusions: The majority of healthcare workers had moderate to good knowledge and practice scores and had a positive attitude toward COVID-19. There was a significant association between knowledge, attitude and practice scores obtained by healthcare workers from Nepal.


2021 ◽  
Author(s):  
Md.Golam Rabbani ◽  
Orin Akter ◽  
Md. Zahid Hasan ◽  
Nandeeta Samad ◽  
Shehrin Shaila Mahmood ◽  
...  

BACKGROUND The world has been grappling with COVID-19 since December 2019, a dire public health crisis. Preventive and control measures are adopted to reduce the spread of COVID-19. To date, the public’s knowledge, attitudes, and practices (KAP) regarding COVID-19 across Bangladesh are poorly measured. Therefore, it is important to assess the KAP of people towards the disease and suggest appropriate strategies to combat COVID-19 effectively. OBJECTIVE This study aimed to assess the KAP of Bangladeshi people towards COVID-19 and determinants of those KAPs. METHODS We conducted a cross-sectional survey of 492 Bangladeshi people, based on purposive sampling technique, aged 18 years and above, from May 7 to 29, 2020, throughout the country. Both descriptive and inferential statistical analyses were performed. Wilcoxon Rank Sum Test and Kruskal-Wallis test were performed to test the statistical inferences across socio-demographic and economic information and knowledge, attitude, and practice scores separately. Spearman’s rank correlation test was performed to assess the correlation of scores between knowledge-attitude, knowledge-practice, and attitude-practice. Finally, multiple logistic regression analyses were conducted to identify the factors associated with KAP on COVID-19. RESULTS About 45% of respondents had good knowledge, about 49% of respondents expressed a positive attitude towards controlling COVID-19, about 74% of respondents had a favorable practice towards COVID-19. Almost three-fourths of the respondents went outside the home during the lockdown period. Our study found that the level of KAP varies significantly across different demographic and socioeconomic groups. Furthermore, the study found that good knowledge and attitude are significantly associated with COVID-19 health measures' better practice. CONCLUSIONS An evidence-informed and context-specific risk communication and community engagement, and a social and behavior change communication strategy against COVID-19 should be developed in Bangladesh, based on the findings of this study, targeting different socioeconomic groups.


Author(s):  
Amsalu Birara Melese ◽  
Alemtsehay Alemu Tesema ◽  
Amare Simegn

Abstract Background: Injuries are very common now a day and can occur at any point of time in a day to day life. Among them, injuries in school children rank a major part. The objective of this research to evaluate knowledge, attitude and practice towards first aid and factors associated among kindergarten teachers. Methods: Institutions based cross-sectional quantitative study design was employed. The study was conducted in Bahir dar town, Amhara region, Ethiopia from March to May 2017. A Pre-tested and structured questionnaire was used to collect data. Binary and multivariate logistic regression analysis was used to determine the separate and confounding effect for variables. Result: A total of 173 respondents were interviewed with a response rate of 93%. From the total respondents 97 (56.1%) scored above mean for knowledge question, In particular, subjects lacked knowledge regarding first aid for Human/animal bite (60.1%) was not answered correctly. Regarding practice out of all respondents, 128(74%) had faced the child in need of first aid. About attitude, all respondents (100%) felt good attitude towards giving and learning first aid. Service year (AOR=8.6, 95%CI0.035-0.399) and previous first aid training (AOR=2.5, 95%CI 1.138-5.570) were found to have a significant association with knowledge of first aid. Conclusion: The knowledge of kindergarten teachers towards first aid were found to be low while they have the good attitude towards giving first aid and receiving training on first aid. It remains necessary to increase their actual first aid knowledge and skills.  


BMC Nutrition ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Wubegzier Mekonnen ◽  
Yeweyenhareg Feleke ◽  
Yakob Desalegn ◽  
Getahun Tarekegne ◽  
Biruk Lambisso ◽  
...  

Abstract Background Vitamin D is essential for health and its shortage exacerbates overall mortality. Health care workers (HCWs) need to educate on its uses and sources although studies indicate their low level of practice. The main aim of this study is therefore to assess the knowledge, attitude and practice of measuring adult vitamin D status, diagnosis of deficiency and managing health consequences among HCWs in Ethiopia. Methods This study was conducted in three ecologies covering lowland, midland and highland districts. A total of 405 health care workers with different levels were interviewed. Tablets were used for data collection to archiving in a cloud server. Data were exported to Stata version 14 software for cleaning and analysis. Rates were computed and the Chi-square test was used to compare differences between the two groups. Binary logistic regression was used to measure the strength, direction and significance of the association between different covariates and the practice of HCWs. Result The level of knowledge, positive attitude and good practice in measuring adult vitamin D status, diagnosis of deficiency and managing health consequences among HCWs was 210 (51.8%), 261(63.5%) and 195(47.4%) respectively. The odds of good practice in the provision of adult vitamin D service were AOR = 6.87: 95% CI (3.57, 13.21) and AOR = 2.20: 95% CI (1.23, 3.92) times higher among HCWs in Addis Ababa and highlands compared with those working in lowlands. Good practice among clinicians was AOR = 4.26: 95% CI (1.48, 12.25) times higher compared with those working in leadership positions. The likelihood was AOR = 1.96: 95% CI (1.19, 3.23) times higher among those with good knowledge compared with those with poor knowledge. Besides, good practice in adult vitamin D service provision was AOR = 2.30: 95% CI (1.40, 3.78) times higher among those with positive attitude compared with those who had negative attitude. Conclusions A little over half of HCWs have good knowledge and close to two-thirds of them have positive attitude while less than half of them have good practice on adult vitamin D deficiency. Besides, HCWs’ residential ecology, clinical position, knowledge and attitude is associated with good practice on adult vitamin D. It is essential to provide rigorous and continuous training for HCWs focusing on their deployment ecology.


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